COMPARATIVE STUDY OF INTRAVENOUS NALBUPHINE VERSUS INTRAVENOUS TRAMADOL FOR POSTOPERATIVE ANALGESIA EFFECT IN ADULT PATIENTS UNDERGOING ELECTIVE SURGERIES UNDER GENERAL ANAESTHESIA: A PROSPECTIVE, RANDOMIZED DOUBLE- BLINDED STUDY

Dr Anjali Dixit, Dr Mahesh Narayan Tiwari

Abstract


Aim: To compare the efficacy intravenous nalbuphine versus intravenous tramadol for  the postoperative analgesia. Materials and Methods: In this prospective randomized study 60 adult patients with the ASAI &II undergoing elective surgeries performed under  general anesthesia duration <90 min received either intravenous nalbuphine (0.25mg/kg)or tramadol (2mg/kg).Visual analog scale(VAS) scores for pain and sedation, nausea and vomiting were also  compared for 8hours between both groups. Results: VAS score were not significantly different  upto 2nd postoperative hour but after that  VAS score were significantly low in nalbuphine  group. Mean sedation scores were significantly more at 2nd&4th  postoperative hour in nalbuphine group. Side effects like nausea, vomiting were significantly more in tramadol  group. Conclusion: Nalbuphine is better analgesic than tramadol as it provides better relief of postoperative pain with good sedation and lower incidence of PONV.


Keywords


Nalbuphine, tramadol, postoperative analgesia, VAS.

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References


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